Provider Demographics
NPI:1558819573
Name:VARQUEZ, DARWIN SARILE
Entity Type:Individual
Prefix:MR
First Name:DARWIN
Middle Name:SARILE
Last Name:VARQUEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 AVONMORE CT
Mailing Address - Street 2:
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-9664
Mailing Address - Country:US
Mailing Address - Phone:443-921-5017
Mailing Address - Fax:
Practice Address - Street 1:10 AVONMORE CT
Practice Address - Street 2:
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21128-9664
Practice Address - Country:US
Practice Address - Phone:443-921-5017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24479225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist